A Prospective Clinical Trial Comparing Darn vs Bassini vs Lichtenstein Inguinal Herniorrhaphy

Authors

  • Nut Boonnithi Department of Surgery, Maharat Nakhon Ratchasima Hospital, Nakhon Ratchasima, Thailand
  • Kowit Kongkham Department of Surgery, Maharat Nakhon Ratchasima Hospital, Nakhon Ratchasima, Thailand

Keywords:

Bassini repair, Darn repair, herniorrhaphy, inguinal hernia, Lichtenstein repair

Abstract

Background: Operative procedures for inguinal hernia are one of the most common surgical procedures,
but the most effective surgical technique is relatively unknown due to the diversity of surgical techniques and
implanted materials available.
Aim: In this study, we set out to determine whether Darn repair used for inguinal herniorrhaphy is as
effective and safe as other methods.
Patients and Methods: One hundred and ninety seven patients diagnosed with inguinal hernia were
prospectively included between January 1, 2006 - December 31, 2007. They underwent herniorrhaphy with three
different methods as follows: 70 cases with Darn repair, 68 cases with Bassini repair and 59 cases with
Lichtenstein repair. The primary outcome was recurrent rate of hernia at one year and secondary outcome
included operative time, postoperative complication and hospital stay.
Results: No postoperative mortality was found in this study. One patient had a recurrence after Bassini
repair. No recurrent hernia was found in other repair methods. Eight patients had hematoma formation (one
in Darn repair, four in Bassini repair and three in Lichtenstein repair). Two patients had surgical site infection
(one in Darn repair and one in Lichtenstein repair). Mean operative times were 46.1, 35.5 and 42.7 minutes for
Darn, Bassini and Lichtenstein technique respectively. There was a significant difference in operative time
(p = 0.0001) but no significant difference in length of hospital stay or clinical outcome.
Conclusion: Darn technique is a safe, cost effective and relatively easy technique with lower recurrence
rate compared to Bassini technique. However, the recurrence rates between Darn and Lichtenstein techniques
are the same. Postoperative complication did not differ in all techniques.

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Published

2010-12-31

How to Cite

1.
Boonnithi N, Kongkham K. A Prospective Clinical Trial Comparing Darn vs Bassini vs Lichtenstein Inguinal Herniorrhaphy. Thai J Surg [Internet]. 2010 Dec. 31 [cited 2023 Feb. 7];31(4). Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/227603

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Original Articles